Coleman Chiropractic Center, Llc is a medicare enrolled "Chiropractor" provider in Coleman, Wisconsin. Their current practice location is
205 N Park Ave, Coleman, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 897-4566.
Coleman Chiropractic Center, Llc is licensed to practice in Wisconsin (license number 3681-012) and it also participates in the medicare program. Coleman Chiropractic Center, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962578658.
Healthcare Provider's Profile
| Full Name | Coleman Chiropractic Center, Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 205 N Park Ave, Coleman, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962578658
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901863174
- Enrollment ID: O20041220000529
Medical Identifiers
Medical identifiers for Coleman Chiropractic Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962578658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3681-012 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coleman Chiropractic Center, Llc acts as a billing entity for following providers:
| Provider Name | Jason P Graetz |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1700886629
PECOS PAC ID: 6709843972
Enrollment ID: I20041220000557 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coleman Chiropractic Center, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Coleman Chiropractic Center, Llc
205 N Park Ave,
Coleman, WI 54112-9438
Ph: (920) 897-4566 | Coleman Chiropractic Center, Llc
205 N Park Ave,
Coleman, WI 54112-9438
Ph: (920) 897-4566 |
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